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Looking for Best Practices? Look No Further One of the Nation’s Top Eight State Dental Medicaid Programs Division of Health Care Services Virginia Department.

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Presentation on theme: "Looking for Best Practices? Look No Further One of the Nation’s Top Eight State Dental Medicaid Programs Division of Health Care Services Virginia Department."— Presentation transcript:

1 Looking for Best Practices? Look No Further One of the Nation’s Top Eight State Dental Medicaid Programs Division of Health Care Services Virginia Department of Medical Assistance Services

2 Inadequate Provider Network in 2005 Very Robust in 2012 Access to Care & Utilization 2005 Compared to 2012

3  Streamlined from Six (FFS, MCOs) to One Delivery System (DBA) Including Administration, Authorizations and Payment.  Transformed Delivery System to a Single Dental Benefits Administrator.  Modeled After Commercial Dental Insurance.  No Churning from FFS to MCO; MCO to MCO.  Dental Care is the Only Focus of the DBA; Not Diluted by MCO Focus on Medical Care.  Engagement with the Provider Community ◦ Reformed Dental Advisory Committee ◦ Collaboration with the Virginia Dental Association ◦ Guided Brand Development: Smiles for Children – Not the Same Old Medicaid Dental Program

4  Recognition by CMS as One of Eight Top Performing Medicaid Dental Programs in the Nation  High Satisfaction by Members and Providers  Focus on Prevention and Quality - Preventistry


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